Organization
BON HEALTH CLINIC L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIKWANG NAM CHIROPRACTOR (OWNER)
(770) 418-2340
Entity
Organization
Contact information
Practice address
10900 MEDLOCK BRIDGE RD, STE #202, JOHNS CREEK, GA 30097
(770) 418-2340
(770) 418-9011
Mailing address
10900 MEDLOCK BRIDGE RD, STE #202, JOHNS CREEK, GA 30097
(770) 418-2340
(770) 418-9011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008082
GA
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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